MEDICARE: VICTORIA GRAFF DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT5923	NM

General Provider Information

NPI Number	:	1528917218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA GRAFF DPT

Provider Business Mailing Address
First Line	:	7849 TRAMWAY BLVD NE STE A
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87122-2529
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	576 N TELSHOR BLVD
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-8223
Country	:	US
Telephone Number	:	575-515-0101
Fax Number	:	505-334-1999

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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